Provider Demographics
NPI:1598269573
Name:SUPERIOR COURT OF CA, ALAMEDA COUNTY
Entity Type:Organization
Organization Name:SUPERIOR COURT OF CA, ALAMEDA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:GAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-272-1217
Mailing Address - Street 1:661 WASHINGTON ST RM 223
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3922
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:661 WASHINGTON ST RM 223
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3922
Practice Address - Country:US
Practice Address - Phone:510-272-1217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management